Rohit Patil

[Bhooshan Shukla @docbhooshan]

Working with children never gets boring.

Since 2000, i see kids from a local orphanage if they have any behaviour/development issues.

I see those kids mostly in my clinic playroom (they are all under 6 yr of age).

One kid, supposedly a chatterbox and seriously mischievous boy was brought to the clinic. For 3 sessions, i could not get anything done with him. No talk, no play, only intense eye contact.

Finally i decided to visit the orphanage and meet him there. And what a great break it turned out to be.

He did not know about my visit. I watched him playing in a group of kids in a large space. After a few minutes he noticed me and came running to me.

Hugged my leg and hung on to my hand like his life depended on it. I do not pick up kids. I sit down or offer them a finger to hold and lead me. He took my finger and led me to the group. Introduced me to his playmates - हे माझे सर आहेत. (This is my sir/doctor) with huge emphasis on "my".

Then he led me to the counselling room, showed me a chair to sit and water bottle. And climbed on to the table with unceasing smile on his face. We had a long chat about everything under the sun and i got all the information i needed.

This is seriously important issue. Children need comfortable, trustworthy and sometimes familiar environments to feel ready to engage.

No hospitals in India get this. They throw in some slides and Mickey mouse cartoons on the wall and believe that this should do the trick.

Any demand about creating a space that makes a child feel welcome and safe is denied by hospitals. (Child psychiatry does not satisfy MBA brains' per hour per sq ft revenue model).

In my clinic, i have all of this and still there is always a kid that will trump it all. And need extra something to feel ready to interact.

Fortunately, this orphanage is in the premises of a teaching hospital where few weeks ago i got appointment as visiting Child Psychiatrist.

So now i will meet all their kids on their home turf every week.

I already have a goodwill ambassador there now who will make sure that other kids also trust me early on.

A 3 yr old teacher and goodwill ambassador. Joys of working with kids. :)

[Bhooshan Shukla @docbhooshan]

Weekend assignment. Latur.
Sessions for School teachers, Doctors and Parents.
3 sessions. 1.5 days.

[Siddharth Singh @siddharth3]

I hope this does not become worse. Oleum gas are fumes from sulfuric acid, which is extremely corrosive to eyes, skin and the respiratory tract.

There's a famous case related to oleum gas leak from 1985 in Delhi (one year after Bhopal) that resulted in illness and death. It led to a landmark case by enviromental lawyer M.C. Mehta that in turn led to the establishment of the principle of "absolute liability", meaning that the company must compensate for damage no matter who is at fault.

[Dr. Priyam Bordoloi @DocPriyamMD]

A "harmless" packet of WHO ORS almost killed my patient yesterday.

Yesterday’s ER night shift was a reminder of why quackery is a public health crisis.

A known CKD patient with a history of recurrent hyperkalemia (last K+ 5.3) had mild diarrhea. A quack’s advice? "Just drink WHO ORS to stay hydrated."

The Result: He presented to my ER with profound muscle weakness, palpitations, and perioral numbness.

Latest Potassium: 6.4 mEq/L. 🚨

Standard WHO ORS contains 20 mEq/L of Potassium. In a healthy person, it’s life-saving. In a renal patient who can’t clear that load, it’s a death sentence.

This is why you don’t take medical advice from pseudoscience influencers or health gurus. It takes 9–10 years of grueling MD training to understand the "why" behind a single prescription.

Medicine is about the patient, not just the symptom. Anyone can claim, "For this disease, take that," but symptomatic treatment without understanding drug interactions or underlying pathophysiology is a recipe for disaster.

Stop risking your life on "common sense" advice that ignores complex science. Consult a certified doctor. Your life literally depends on it

[Andrej Karpathy @karpathy]

Agency > Intelligence

I had this intuitively wrong for decades, I think due to a pervasive cultural veneration of intelligence, various entertainment/media, obsession with IQ etc. Agency is significantly more powerful and significantly more scarce. Are you hiring for agency? Are we educating for agency? Are you acting as if you had 10X agency?

Grok explanation is ~close:

“Agency, as a personality trait, refers to an individual's capacity to take initiative, make decisions, and exert control over their actions and environment. It’s about being proactive rather than reactive—someone with high agency doesn’t just let life happen to them; they shape it. Think of it as a blend of self-efficacy, determination, and a sense of ownership over one’s path.

People with strong agency tend to set goals and pursue them with confidence, even in the face of obstacles. They’re the type to say, “I’ll figure it out,” and then actually do it. On the flip side, someone low in agency might feel more like a passenger in their own life, waiting for external forces—like luck, other people, or circumstances—to dictate what happens next.

It’s not quite the same as assertiveness or ambition, though it can overlap. Agency is quieter, more internal—it’s the belief that you *can* act, paired with the will to follow through. Psychologists often tie it to concepts like locus of control: high-agency folks lean toward an internal locus, feeling they steer their fate, while low-agency folks might lean external, seeing life as something that happens *to* them.”

[𝙍𝘼𝙅𝙀𝙎𝙃 𝙋𝘼𝙍𝙄𝙆𝙃 @imacuriosguy]

Most doctors are doing exactly what they were trained to do treat patients professionally, often inside collapsing systems with zero protection and relentless pressure.

The real joke is the tribe of so called journalists who have abandoned journalism altogether. How many of them relentlessly question governments, administrations, and babus on corruption, rot, or the daily humiliation of Indian living conditions? Almost none.

Instead, they parrot what they are fed, theatrically sensationalise a patient doctor scuffle, ridicule an entire profession, and hand down instant verdicts like moral clowns with microphones.

Over the last decade, large parts of mainstream media have sunk so deep that watchdog is an insult. They are lapdogs scraping the Mariana Trench and still digging.
#Shimla #medtwitter

[Dr Aneesh Karwande @aneeshkarwande]

Happy World Meditation Day to everyone! ♥️
5-10 minutes daily can change your life..
Simple breath work, bodyscan, visualisations, whatever floats your boat..just do it
Ample resources available online..
#meditation #Mindfulness

[Besan ka Halwa @vikramgrawol]

Well, that just reaffirms the message of that film. There is no 'masterpiece'...cinema is what you make of it...cinema is imperfect...cinema is for everyone.

[Rajath @FoolzWizdom]

Cough Syrups for Kids: Let’s Clear the Confusion

Answers to the 10 questions, that parents should be asking

#CoughSyrup
#CoughSyrupDeaths
#DEC
#ChildHealth
#Parenting

[Dr Nilesh Nolkha @nileshnolkha]

One of my earliest patients shaped the way I practice medicine.

He had severe knee OA, could not afford a knee replacement, and came with excruciating pain & stiffness. On evaluation, we found a large Baker’s cyst — not just “arthritis pain.”

We aspirated & injected the cyst with steroid. His pain reduced by 70-80%, and he stayed well for 4 years — without surgery.

This case taught me:
💡 Sometimes what looks like a “single solution” problem has simpler, affordable options.
💡 As doctors, we must adapt treatment to a patient’s clinical + social context.

#MedTwitter #Rheumatology #PatientCare #KneePain

[Dr. Brahma Chellaney @Chellaney]

Israel’s population is just 10 million, while India has 1.4 billion people. Yet their latest military operations present a striking contrast.

Israel decapitated Iran’s top military command through powerful preemptive strikes. In contrast, India launched its Operation Sindoor tentatively — after giving Pakistan 15 days’ advance notice. It initially targeted some terrorist camps but without first neutralizing Pakistan’s air defenses. That strategic oversight led to the loss of some Indian warplanes. Only then did the political leadership authorize the Air Force to strike Pakistani air defenses and air bases. But just as the Indian military was gaining the upper hand, the operation was abruptly halted — only three days after it began.

Force should always be a last resort — but when used, it must be guided by strategic clarity. A military operation should aim for decisive results that speak for themselves — not rely on post-facto narrative-building through domestic roadshows or delegations of lawmakers dispatched abroad.

[Soumitra 🌻 সৌমিত্র சௌமித்ரா سومترہ @netshrink]

Until the Govt can assure ALL generic medicines are of good quality, asking Drs to prescribe 'generic' is a recipe for disaster. Moves the choice to the chemist.
Btw SC does not understand "generic". Almost all drugs sold in India are generic. I am surprised when Drs..1/n

[Simran Bhardwaj @wholesim]

Got conviction in my first case as Investigating Officer.

But this is far more important for 02 reasons:

1. Sexual assault/harassment is hardly thought of something to report unless it is aggravated/penetrative as defined in POCSO.

[Bhooshan Shukla @docbhooshan]

Extreme skeptics are also extremely gullible.

Let. That. Sink. In.

[Dr. Devashish Palkar @psychidiaries]

"Running is my therapy."
"Music is my therapy."
"Gym is my therapy."

I get it. These things feel amazing.
But let’s talk—as a psychiatrist AND a passionate runner myself.
A small 🧵
1/n

[𝙍𝘼𝙅𝙀𝙎𝙃 𝙋𝘼𝙍𝙄𝙆𝙃 @imacuriosguy]

Thread: The Genius of Slime Mold - Nature’s Brainless Problem Solver 🧵
Allow me to introduce you to one of the most fascinating organisms on Earth: slime mold. No brain, no neurons, no central control system—yet it can solve complex optimization problems that stump our best computers. Get your popcorn ready, (I love caramel macadamia), to enjoy reading this wonderful world of biological computation!
1/17

[Rohit Patil @rohitvp173]

@grok who is the greatest dictatorial head of the state ?
@grok which country comes closest to the idea of false democracy ?

[TheLiverDoc™ @theliverdoc]

We had to perform an emergency liver transplant in a child last weekend because of acute liver failure which developed after the child was given alcohol-based traditional Ayurvedic medications for stomach-related symptoms. This is what herbal-supplements did to the child's liver (top) compared to a healthy liver (bottom).

Will we ever learn?

[मराठीचिये नगरी @MarathiRT]

आज वाचन प्रेरणा दिन निमित्ताने @dksalgar सरांनी दोन ई-पुस्तके विकसित केली आहेत, सदर ई-पुस्तके शालेय स्तरासाठी अतिशय उपयुक्त ठरतील.

अधिकाधिक विद्यार्थ्यांना लाभ होण्यासाठी ही ई-पुस्तके नि:शुल्क उपलब्ध आहेत. कृपया गरजू विद्यार्थ्यांपर्यंत पोहोचवा. धन्यवाद. 🙏

[Aju Mathew @ajumathew_]

Why do hospitals in India repeat all tests including PET scan when patient has been comprehensively evaluated at anothet high quality tertiary Cancer center?

#globaloncology #financialtoxicity